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Pennsylvania rates for MS-DRG 616

Amputation of lower limb for endocrine, nutritional and metabolic disorders with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,907.10 / $57,493.30 / $84,133.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $78,295.30 / $103,756.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,637.60 / $51,020.66 / $77,906.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,465.38 / $57,465.38 / $69,779.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,260.53 / $50,858.08 / $83,654.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,449.40 / $57,015.50 / $83,090.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,637.60 / $46,889.00 / $77,906.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $29,563.28 / $42,956.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,219.90 / $43,958.68 / $79,735.91